Hybrid Cerebrovascular Surgery for Complex Cerebral Aneurysms and Arteriovenous Malformations

  • Kurita Hiroki
    Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University
  • Takeda Ririko
    Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University
  • Ikeda Toshiki
    Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University
  • Kikkawa Yuichiro
    Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University
  • Fushihara Goji
    Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University
  • Ooigawa Hidetoshi
    Department of Neurosurgery, Saitama Cardiovascular and Respiratory Center
  • Ogura Takeshi
    Department of Cerebrovascular Surgery, Stroke Center, Kurosawa Hospital
  • Ishihara Shoichiro
    Department of Intravascular Neurosurgery, International Medical Center, Saitama Medical University

Bibliographic Information

Other Title
  • 脳動脈瘤・脳動静脈奇形に対するhybrid手術の現状と展望
  • —直達術の立場より—

Search this article

Abstract

  The purpose of this study was to introduce our initial experience of using hybrid microsurgery and intravascular surgery for treating complex cerebral aneurysms (ANs) and arteriovenous malformations (AVMs). The hybrid surgery included a single operative intervention of microsurgical partial neck clipping (neck plasty) followed by coil embolization for patients with ANs and strategic intravascular embolization after craniotomy followed by removal for patients with AVMs. Intraoperative microcatheter 3D-angiography, ICG videoangiography, Doppler sonography, and electrophysiological monitoring were all routinely used. Total obliteration of the lesion was achieved in all patients without significant morbidity. The hybrid suite is a useful setup which allowed for an unconstrained combined microsurgical and neuroradiological workflow. Our initial experience introduces hybrid surgery as a safe and more durable treatment option for the management of complex intracranial ANs and AVMs.

Journal

Citations (1)*help

See more

References(13)*help

See more

Related Projects

See more

Details 詳細情報について

Report a problem

Back to top